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I � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org (�,,�Z,�,2 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM /^/Z b 6'�J67 <br /> l> .1 <br /> �j1Dv �-i�,Je,f �� � �d1LK-£�n �fl�"l'v <br /> PROJECT RDDRESS <br /> ��;.�.�-dl �,.�w r�!•A����1��,� �— <br /> Owner Mail Add ss City State2�p P�one <br /> So f — <br /> Tenant MailAddress City State2ip P�hosn3e <br /> y d� <br /> ('�.���. .r,.�.4ca�s Con �t�� I�n�' S� E 0-�1 ��e wr� 4gya4-a�v Ks�4 <br /> ElectricalCoNrador MailAddress City StatelZip Phone <br /> ��� � ��� " �\ U � 0 J3i�� — <br /> State License Number Contract Pnce of Work <br /> ,(�� wr-+.! �7�W1 �Qw/�C1 � 4��1�� <br /> Proposed Use o(Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction,remodel or addition) <br /> Description of Wark lo Be Done: 1�S / y � (S yt' �7�1/� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> I liereby cerlily that I have read and examined fhis applicafion and know the same fo be frue and /����4_ O� �] <br /> co/recL All pmvisions o/laws and ordinances goveming fhis type ol work wil/be complefed (�I T <br /> �vhefherspecilied herein or noL The granting o/a permd does nof presume fo give aufhonly to <br /> violate or cancel the provisions ol any ofher sfale or local law regu/afing cronstnicfion or fhe <br /> pedomian e ol construclion. Thaf 1 am aufhonzed by the ownerol fhis property to pedortn the <br /> wodc lor rich applicafion is made and 1 comply with Ihe Sfafe Confracfors Law 19.27 RCW and <br /> 296. 00 AC. �� <br /> (/ � iz <br /> / ignaWre,i e <br /> G_--J'--�--� <br />